Reach Us +447482874092


Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar
The Shoulder Symptom Modification Procedure (SSMP): A Reliability Study | OMICS International | Abstract
ISSN: 2165-7025

Journal of Novel Physiotherapies
Open Access

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

The Shoulder Symptom Modification Procedure (SSMP): A Reliability Study

Hilla Sarig Bahat* and Orna Kerner

Department of Physical Therapy,University of Haifa, Israel.

*Corresponding Author:
Hilla Sarig Bahat
Lecturer, University of Haifa
Physical Therapy, Mt. Carmel
Haifa, Israel
Tel: +972545380483, +972773506060
Fax: +97248288140
E-mail: [email protected] o l

Received Date: May 16, 2016; Accepted Date: July 26, 2016; Published Date: August 08, 2016

Citation: Sarig Bahat H, Kerner O (2016) The Shoulder Symptom Modification Procedure (SSMP): A Reliability Study. J Nov Physiother S3:011. doi: 10.4172/2165-7025. S3-011

Copyright: © 2016 Sarig Bahat H. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Study design: Cross section reliability study. The study assessed inter-tester (n=90) and intra-tester reliability (n=25) of the Shoulder Symptom Modification Procedure (SSMP) in adults with localized shoulder pain. Objective: To evaluate the inter- and intra-tester reliability of the SSMP for shoulder assessment in patients with shoulder pain. Background: Diagnosing the underlying structures responsible for shoulder symptoms is difficult and commonly does not advance treatment. Current orthopedic assessment techniques are mostly provocative, and do not necessarily direct towards an effective strategy. The SSMP was developed to provide a treatment-oriented assessment. Methods: Patients underwent an initial functional test used as a reference for their shoulder symptoms. The SSMP aimed to find a technique that eases these symptoms. It comprised four modification categories: Thoracic kyphosis, scapular position, humeral head position, and neuro-modulation. Each modification resulted as positive if symptoms improved more than 30%. Inter-tester reliability was assessed by comparing findings by 2 physiotherapists (arranged in 3 pairs of 3 blinded testers). Intra-tester reliability evaluation included repeated testing by one physiotherapist. A washout period of 20-40 minutes was allowed in between repeated tests, during which intra-tester assessed/treated others and patients rested. Cohen’s kappa was used for statistical analysis. Results: Inter-tester reliability showed moderate to almost perfect agreement in the thoracic kyphosis and humeral head position categories (Ð�=0.77, 0.86 and Ð�=0.78, Ð�=0.74 respectively). Intra-tester reliability showed moderate agreement in the humeral head category (Ð�=0.66). Other categories showed poor to moderate agreement. Conclusion: Findings showed overall moderate reliability, with good reliability achieved for thoracic and humeral head modifications alone. Reliability was possibly limited due to the changeable nature of the variable being assessed. Symptom intensity may have changed due to modifications, altering the response to the provocation in the second test. Further research should investigate whether higher reliability can be achieved with procedures addressing the limitations identified.


Google Scholar citation report
Citations : 2088

Journal of Novel Physiotherapies received 2088 citations as per Google Scholar report

Journal of Novel Physiotherapies peer review process verified at publons
Indexed In
  • Index Copernicus
  • Google Scholar
  • Open J Gate
  • Genamics JournalSeek
  • Academic Keys
  • SafetyLit
  • RefSeek
  • Hamdard University
  • OCLC- WorldCat
  • Publons
Share This Page